scholarly journals The TELE-DD project on treatment nonadherence in the population with type 2 diabetes and comorbid depression

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Juan Francisco Roy ◽  
María Luisa Lozano del Hoyo ◽  
Fernando Urcola-Pardo ◽  
Alicia Monreal-Bartolomé ◽  
Diana Cecilia Gracia Ruiz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Type 2 Diabetes ◽  
Phase I ◽  
Clinical Depression ◽  
Point Prevalence ◽  
Diabetic Patients ◽  
Comorbid Depression ◽  
Shared Risk

AbstractDiabetic patients have increased depression rates, diminished quality of life, and higher death rates due to depression comorbidity or diabetes complications. Treatment adherence (TA) and the maintenance of an adequate and competent self-care are crucial factors to reach optimal glycaemic control and stable quality of life in these patients. In this report, we present the baseline population analyses in phase I of the TELE-DD project, a three-phased population-based study in 23 Health Centres from the Aragonian Health Service Sector II in Zaragoza, Spain. The objectives of the present report are: (1) to determine the point prevalence of T2D and clinical depression comorbidity and treatment nonadherence; (2) to test if HbA1c and LDL-C, as primary DM outcomes, are related to TA in this population; and (3) to test if these DM primary outcomes are associated with TA independently of shared risk factors for DM and depression, and patients’ health behaviours. A population of 7,271 patients with type-2 diabetes and comorbid clinical depression was investigated for inclusion. Individuals with confirmed diagnoses and drug treatment for both illnesses (n = 3340) were included in the current phase I. A point prevalence of 1.9% was found for the T2D-depression comorbidity. The prevalence of patients nonadherent to treatment for these diseases was 35.4%. Multivariate analyses confirmed that lower diabetes duration, increased yearly PCS visits, HbA1c and LDL-C levels were independently related to treatment nonadherence. These findings informed the development of a telephonic monitoring platform for treatment of nonadherence for people with diabetes and comorbid depression and further trial, cost-effectiveness, and prognostic studies (phases II and III).

scholarly journals Effect of a Quality of Life Education Program on Psychological Well-Being and Adherence to Treatment of Diabetic Patients

2021 ◽  
Vol 31 (1) ◽  
pp. 61-67
Author(s):  
Faezeh Jahan ◽  
◽  
Saeed Nematolahi ◽  
Keyword(s):  
Quality Of Life ◽  
Type 2 Diabetes ◽  
Education Program ◽  
Well Being ◽  
Diabetic Patients ◽  
Adherence To Treatment ◽  
Psychological Well Being ◽  
Statistical Population

Introduction: Diabetes is a chronic disease with fatal health complications. Identifying the psychological factors that control this disease is very important, one of which is quality of life (QOL). Objective: This study aimed to investigate the effect of a QOL education program on psychological well-being (PWB) and adherence to treatment of patients with type 2 diabetes. Materials and Methods: This is a pilot study with a quasi-experimental design based on pretest and posttest phases. The statistical population consists of all diabetic patients referred to health centers in Semnan City, Iran during the 6months from March to September 2018.Of them,30 type 2 diabetes, aged 30-60 years (male and female) were selected based on the inclusion criteria and randomly assigned to the intervention and control groups. They were first assessed by using Hayes’s general adherence scale (GAS) and Ryff’s psychological well-being scale the short form (PWBS-SF).Then, the intervention group received QOL education in 12 sessions, once per week each for 90 min. Then, posttest assessments were carried out. The collected data were analyzed using MANCOVA. Results: The QOL education program significantly increased adherence to treatment (P= 0.005) and PWV and all its dimensions (autonomy, environmental mastery, personal growth, positive relations with others, be purposeful in life, self-acceptance) in patients (P = 0.005). Conclusion: Since diabetes is one of the chronic diseases that need constant care and there is no definitive and immediate treatment for it, increasing PWB and adherence to treatment in patients to control this disease by QOL education can be very effective.

scholarly journals The Health-Related Quality of Life of Vietnamese Type 2 Diabetic Patients

2020 ◽  
Vol 15 (2) ◽  
pp. 175-186
Author(s):  
Nghiep Ke Le ◽  
Keyword(s):  
Quality Of Life ◽  
Type 2 Diabetes ◽  
Family Type ◽  
Diabetic Patients ◽  
Health Related Quality ◽  
Life Score ◽  
Related Quality ◽  
Health Related

Type 2 diabetes is a chronic metabolic disorder that has serious complications including quality of life. This research analyses the health-related quality of life and the relative factors of type 2 diabetics in Tam Binh District, Vinh Long Province, Vietnam. A cross-sectional study was administered from July-August 2019 at seventeen communes in Tam Binh district. All total of 500 patients diagnosed type 2 diabetes and aged 35 years and older, comprised this investigation. The exploration questionnaire encompassed the Vietnamese Diabetes Quality of Life. Diabetics had an average age of 59.77 + 9.81 years. The health-related quality of life score was moderate at 60.15 + 21 points. The inter-personal relationship had the lowest score. However, the highest score was detected for the physical endurance. The significant differences could be distinguished at different individual components like age, marital status, location, family type, education, occupation, income, duration, glycaemia, HbA1c, hypoglycemia, alcohol-using, treatments, and other issues. The study highlighted that type 2 diabetes had a negative impact on health-related quality of life. Some patient characteristics affected Vietnamese diabetes quality of life score.

scholarly journals Diabetic Patients’ Quality of Life and Their Relationship in Compliance with Antidiabetic Treatment. Case Study of Patients in a Public Hospital in Greece

2020 ◽  
Vol 17 ◽  
Keyword(s):  
Quality Of Life ◽  
Type 2 Diabetes ◽  
Diabetes Management ◽  
Medical Science ◽  
Diabetic Patients ◽  
Adherence To Treatment ◽  
Adherence To Medication ◽  
Antidiabetic Treatment

Background & Aim: Diabetes is a chronic disease that affects nearly half a million people worldwide. Although advances in technology and medical science have made diabetes management easier today, self-care and adherence to treatment (medication, diet, exercise, etc.) remain a major challenge for diabetic patients. The purpose of this study is to study the quality of life of patients with type 2 diabetes, their levels of compliance with antidiabetic treatment, and the relationship between the two. Methods & Materials: The present work followed the quantitative approach. A well-structured and reliable questionnaire used in a previous study was distributed to patients with type 2 diabetes mellitus. The results were analysed in SPSS statistical program and the correlation between antidiabetic treatment and quality of life was examined using Pearson coefficient. Results: The study involved 165 patients with type 2 diabetes who were hospitalized at the General Hospital of Messinia. Among the dimensions of adherence to treatment, only personal care behaviour (p <0.05) and adherence to care (p <0.05) were significantly and positively correlated with the physical quality of life health. Conclusion: Patients with type 2 diabetes have moderate the low quality of life, in line with previous research findings. Lower extremity care compliance was associated with the quality of life of diabetic patients with physical health, although previous studies have generally found that compliance with a diet regimen as well as adherence to medication is associated with the quality of life of diabetic patients. Future research needs to address the same issue by taking larger and more representative samples.

scholarly journals Instruments for Disease-Specific Quality-of-Life Measurement in Patients with Type 2 Diabetes Mellitus - A Systematic Review / Инструменты Для Оценки Специфического Качества Жизни Пациентов, Больных Сахарным Диабетом Типа 2

Folia Medica ◽  
2013 ◽  
Vol 55 (1) ◽  
pp. 83-92 ◽  
Author(s):  
Boryana A. Levterova ◽  
Donka D. Dimitrova ◽  
Georgi E. Levterov ◽  
Elena A. Dragova
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Well Being ◽  
Subjective Perception ◽  
Diabetic Patients ◽  
Disease Specific

Abstract Diabetes mellitus is a disease which carries a considerable social impact in Bulgaria and across the world because of its high prevalence. Research literature has recently included lots of studies investigating the effects of diabetes mellitus on the quality of life of diabetic patients and also many instruments to assess these effects. Quality of life is a concept that encompasses an individual‘s subjective perception of physical, emotional and social wellbeing, including both a cognitive component (satisfaction) and an emotional component (happiness). We review and analyse in the present article major determinants of disease-specific quality of life in patients with type 2 diabetes mellitus and the tools used for assessment. RESULTS: Fourteen instruments for measuring quality of life in type 2 diabetes mellitus (T2DM) met our search criteria. Their contents covered different quality-of-life domains or indicators - typical diabetes symptoms, general health and quality of life, personality traits, physical functioning, mental and social well-being, treatment and quality of life. Most of the disease-specific tools had been field tested and data about their reliability and validity have been reported. Few tools had been subjected to formal assessment of their adaptability to changes. CONCLUSIONS: Of the instruments we assessed the most promising approaches for measuring the diabetes-specific quality of life are offered by ADDQoL, DСP and WBQ. Patients were involved in the development of these tools which have been shown by a number of studies to have good internal reliability, external and construct validity. Efforts are being continually made worldwide to develop a standard ensuring valid, reliable, easy to use tool for assessing quality of life in patients with type 2 diabetes mellitus in order to promote patients integration into society.

scholarly journals Pengaruh Model Aplikasi Control Diabetes Mellitus Type 2 (CDMT2) Terhadap Kualitas Hidup Pada Pasien Diabetes Mellitus Tipe 2

2020 ◽  
Vol 9 (2) ◽  
pp. 220-225
Author(s):  
Ida Faridah ◽  
Ade Purnama ◽  
Yati Afiyanti
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetes Mellitus Type 2 ◽  
Diabetes Mellitus Type ◽  
Diabetic Patients ◽  
Application Model

Background: Diabetes mellitus type 2 cannot be cured but can be controlled by controlling blood sugar levels and improving the quality of life of diabetics. The prevalence of diabetes mellitus based on doctor's diagnosis and age ≥15 years in Banten province has increased in 2013 by 1.3% while in 2018 it was 2.2% (Riskesdas, 2018). Purpose: The purpose of this study was to determine the effect of the cdmt2 application model on the quality of life of patients with type 2 diabetes mellitus. Research methods: the method used in this study was one group pre test post test. The sampling technique in this study used a total sampling with a total of 384 respondents with type 2 diabetes mellitus in Banten. The instruments used were the DQOL questionnaire and the cdmt2 application model. Results: The Paired Simple T-Test showed the effect of the cdmt2 application model on the quality of life of diabetic patients (P value = 0.000) P <0.05. The cdmt2 application significantly affects the quality of life of type 2 diabetes mellitus patients. Conclusion: The cdmt2 application model significantly influences the quality of life of type 2 diabetes mellitus patients. health promotion regarding type 2 diabetes mellitus. Keywords: Cdmt2 Application Model, quality of life, type 2 diabetes mellitus Bibliography: 2010-2020

scholarly journals Associations among physical activity, comorbidities, depressive symptoms and health-related quality of life in type 2 diabetes

2013 ◽  
Vol 57 (1) ◽  
pp. 44-50 ◽  
Author(s):  
Thiago Medeiros da Costa Daniele ◽  
Veralice Meireles Sales de Bruin ◽  
Débora Siqueira Nobre de Oliveira ◽  
Clara Mota Randal Pompeu ◽  
Adriana Costa e Forti
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Type 2 Diabetes ◽  
Depressive Symptoms ◽  
Diabetic Patients ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

OBJECTIVE: To investigate associations between physical activity, comorbidity severity, depressive symptoms, and health-related quality of life in type 2 diabetes mellitus. SUBJECTS AND METHODS: All individuals, 200 patients and 50 controls, aged from 40 to 60 years, were investigated by interview, and all variables were measured concurrently. Physical activity was evaluated by the International Physical Activity Questionnaire (IPAQ), Health-Related Quality of Life (HRQL) by the Short-Form Health Survey (SF-36), comorbidity severity by the Charlson Comorbidity Index (CCI), and depressive symptoms by the Beck Depression Inventory (BDI-II > 16). Single and multiple regression analysis evaluated the effects of independent variables on physical activity. RESULTS: The patients had more depressive symptoms and greater comorbidity severity (p < 0.005). Diabetic patients showed better activity levels (IPAQ) (p < 0.005). Functional Capacity, General State of Health, and Physical Limitation were the most affected subscales in the SF-36 evaluation of the HRQL. Sedentary diabetic patients had higher waist circumference, waist-to-hip ratios, more depressive symptoms, and worse HRQL. Functional capacity (p = 0.000), followed by General State of Health (p = 0.02), were the health status measure subscales independently associated with physical activity. Conclusions: The findings suggest that increasing patient independence and treating depressive symptoms can promote physical activity for type 2 diabetes mellitus patients. It is suggested that group activities and caregivers/family support might compensate for the patient dependence, and increase adherence to exercise programs in those that are less active.

scholarly journals Health literacy and cardiovascular disease in type 2 diabetes—a cross-sectional study

2021 ◽  
Vol 31 (Supplement_2) ◽  
Author(s):  
Jmp Melo ◽  
Icsc Rosendo ◽  
Lmms Santiago ◽  
Ja Simões ◽  
Paap Santos
Keyword(s):  
Quality Of Life ◽  
Type 2 Diabetes ◽  
Health Literacy ◽  
Cardiovascular Events ◽  
Longitudinal Research ◽  
Short Version ◽  
Diabetic Patients ◽  
Cross Sectional

Abstract Background The macrovascular complications are the main cause of death of diabetic patients. Health literacy is the capacity one can have in order to acquire, interpret, understand and communicate the information related to health, necessary for the diabetes control and, consequently, for the cardiovascular prevention. The main goal of this project is to understand the relationship between health literacy and the occurrence of cardiovascular events in a person with type 2 diabetes mellitus, as well as its relationship with adherence, enablement and quality of life. Methods Cross-sectional national pilot study of a prospective cohort, carried out in persons with DM2 selected by convenience in aleatory health regions. The Medical Term Recognition Test, the Summary of Diabetes Self-Care Activities, the Diabetes Empowerment Scale–short version-and the European Quality of Life–Visual analogue scale-were used. The Spearman correlation and the U of Mann Whitney test were used for statistical analysis. Results No significative relation was found between health literacy and the occurrence of cardiovascular events. However, people with previous isquemic coronary disease had an inferior evaluation in the literacy scale. People with more literacy were more predisposed to adhere to a specific diet, but not so much to physical activities. There was a significative relation between health literacy and the values of LDL (P = 0.046), age (P ≤ 0.001), education (P ≤ 0.001) and the Socio Economic Deprivation Index (P ≤ 0.001). Conclusions It is essential to continue to amplify the sample so that the longitudinal research can be achieved.

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